| Date of birth: | Sep 4, 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 220 Seippel Boulevard, Suite 2, Beaver Dam, WI 53916-0517, (920)885-2940 |
| Unit: | 7 05 |
| Pin number: | 856694 |
| Photo date: | Oct 29, 2010 |
| Inmate status: | REVOKED |
| Booking number: | 00566056 |
| Booking location: | Wisconsin |
| Statute: | 946.41(1) M, 947.01 M |
| County: | DODGE |
| Convicted: | Oct 29, 2010 |
| Case number: | 10CT132 |